CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC NPI 1124701800

NPI Information

NPI: 1124701800
Provider Name: CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2190824

Address:
109 S LAS POSAS RD STE 101
SAN MARCOS, CA
ZIP 92078
Phone: (760) 258-4826
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CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC is an urgent care clinic center in San Marcos, CA. CARBON HEALTH MEDICAL GROUP OF SUNNYVALE INC NPI is 1124701800. The provider is registered as an organization entity type.

The provider's business location address is:

109 S LAS POSAS RD STE 101
SAN MARCOS, CA
ZIP 92078-419
Phone: (760) 258-4826

The provider's authorized official is Gianna Papa .
The authorized official title is Credentialing Manager and has the following contact phone number (415) 446-1733.

The CLIA number assigned to this NPI record is 05D2190824 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2023 and was last updated on 10/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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